ANTONIO LAMONT CLARK - Pharmacist License in Illinois | # 049119765

ANTONIO LAMONT CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119765

License Status

NOT RENEWED

Business

N

First Name

ANTONIO

Middle

LAMONT

Last Name

CLARK

Business Name

ANTONIO LAMONT CLARK

Original Issue Date

01/08/1998

Effective Date

01/08/1998

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005